We’d be delighted if you took a moment to explore our
profile – we can’t wait to share our story with you!
Your Caring Companion in Healthcare – Dedicated
to Supporting You with Every Step of Your Journey!
 


*********Call us now to experience free 3 days trial on Our world class service in RCM*********                **********Call us now to experience free 3 days trial on Our world class service in RCM*************

About US 

At ExquiroLogix RCM, we empower healthcare providers to focus on what matters most—delivering exceptional patient care. With our deep expertise in medical billing and credentialing, we navigate the complexities, streamline operations, and maximize efficiency, so you can dedicate your time where it’s needed most—your patients.

We specialise in serving individual providers, clinics, and hospitals. Our goal is to optimize your revenue cycle, streamline administrative workflows, and ensure your practice remains compliant with the latest regulatory changes, allowing you to focus on what matters most—caring for your patients. 

Our mission is to provide exceptional service with an unwavering commitment to quality and customer satisfaction. Our 24/7 Contact Center Solutions ensure a seamless experience for your clients every day of the year. By prioritizing excellence, we not only enhance your brand’s reputation but also help reduce operational costs by 35-40%. 

Mobirise Website Builder
Mobirise Website Builder

Why Choose Us?

Because we care about your success! We’re dedicated to providing you with personalized, efficient solutions that make your life easier. Our team is passionate about ensuring your practice runs smoothly, using the latest technology and offering clear communication every step of the way. With us, you’re not just another client – you’re a valued & trusted collaborator, and we’re here to help you thrive. 

Our Services 

Revenue Cycle Management Computer Process
Mobirise Website Builder

Patient Authorization

Mobirise Website Builder

Eligibility & Benefits Verification

Mobirise Website Builder

Provider Credentialing

Mobirise Website Builder

Claims Submission

Mobirise Website Builder

Payment Posting

Mobirise Website Builder

Denial Management

Mobirise Website Builder

A/R Follow Up

Mobirise Website Builder

Audit & Reporting

Patient Scheduling

Patient scheduling ensures accurate documentation, timely billing, and smoother coordination
with insurance, leading to faster payments and fewer errors.

1. Accurate Billing: Proper scheduling ensures the right services are documented,
minimizing billing errors.
2. Efficient Revenue Cycle: Scheduled appointments improve claim submission, reducing
delays and no-shows.
3. Faster Payments: Pre-scheduled appointments allow for insurance verification and
necessary authorizations, speeding up the payment process.
4. Better Coordination with Insurance: Ensures pre-authorization and accurate patient
data, reducing issues with insurers.
5. Patient Satisfaction: Clear scheduling helps avoid confusion, improving patient
experiences and ensuring all services are billed properly.
6. In short, good scheduling streamlines the billing process, reduces errors, and ensures timely
payments.

Patient Demographic

Accurate patient demographics ensure smooth medical billing, prevent claim denials, and
support efficient healthcare operations.

1. Accurate Claims Processing – Correct details (name, DOB, insurance info) prevent
claim rejections and delays.
2. Insurance Verification – Ensures eligibility and proper coordination of benefits.
3. Avoiding Denials – Errors in demographics are a leading cause of claim rejections.
4. Faster Reimbursements – Reduces administrative workload and improves revenue
cycle management.
5. Effective Communication – Ensures smooth patient-provider interaction for follow-ups
and billing.
6. Legal Compliance – Meets HIPAA and other regulatory requirements.
7. Medical Record Accuracy – Supports continuity of care and prevents patient mix-ups.
8. Maintaining up-to-date demographics enhances billing efficiency, patient experience, and
revenue management.

Charge Entry in Medical Billing

Charge entry in medical billing is the process of translating healthcare services into billable
charges by assigning correct codes, ensuring accuracy, and submitting claims for reimbursement.

Charge Entry Process
1. Patient Information Verification
2. Provider and Service Details Entry
3. Procedure and Diagnosis Code Assignment
4. Charge Calculation
5. Modifiers Application
6. Claim Scrubbing & Validation 
7. Charge Submission.

Medical Coding

Medical coding is a critical component of the medical billing process. It ensures that healthcare
services are accurately documented, billed, and reimbursed.

1. Ensures Accurate Billing & Payment – Prevents errors, reduces claim denials, and
ensures providers get paid correctly.
2. Prevents Fraud & Compliance Issues – Helps avoid fraudulent claims and ensures
compliance with regulations.
3. Standardization & Efficiency – Creates a universal language for billing, reducing
administrative errors.
4. Supports Healthcare Data & Research – Helps track disease trends and improve
medical research.
5. Enhances Patient Care – Maintains detailed, organized medical records for better
treatment.
6. Medical coding ensures financial stability, compliance, and high-quality patient care in
healthcare.

Pre-Authorization/Referrals

Pre-authorization and referrals enhance compliance, financial stability, and patient satisfaction.

Pre-authorization and referrals are crucial for ensuring smooth claim processing, minimizing
denials, and optimizing patient care.

1. Insurance Compliance – Required for certain procedures; failure leads to claim denials.
2. Prevents Claim Denials – Ensures insurance reimbursement and reduces appeals.
3. Cost Control – Prevents unnecessary procedures, lowering healthcare costs.
4. Faster Payments – Streamlines revenue cycle and improves cash flow.
5. Better Patient Experience – Reduces unexpected costs and delays.
6. Regulatory Compliance – Avoids penalties and contract violations.
7. Efficient Resource Use – Ensures coverage before service delivery.
8. Prevents Retroactive Denials – Avoids financial losses for providers.

Payment/EOB Posting

Payment/EOB posting ensures accurate billing, timely reimbursements, and effective claims
management for improved cash flow and compliance.

1. Accurate Financial Records: Ensures payments are correctly recorded for proper
reimbursement.
2. Claims Reconciliation: Helps match insurance payments with submitted claims,
identifying discrepancies or denials.
3. Denial Management: Quickly flags denied or underpaid claims for resolution.
4. Compliance: Ensures adherence to payer requirements, reducing audit risks.
5. Cash Flow: Enables timely follow-ups on underpayments, improving cash flow.
6. Financial Reporting: Provides clear insights into revenue and forecasting.
7. Patient Experience: Reduces billing errors and improves patient satisfaction.
8. In essence, payment posting ensures accurate financial tracking, timely reimbursements, and
smooth operations in medical billing.

Accounts Receivable

Accounts Receivable (AR) in medical billing is essential for ensuring timely payment for services
rendered, supporting cash flow, and maintaining financial health. It tracks payments from insurance
companies and patients, helping identify issues with claims or delayed payments. Efficient AR

management improves revenue cycle performance, reduces administrative costs, and provides valuable
data for performance metrics. It also ensures compliance with regulations and enhances the patient
experience by clearly communicating billing responsibilities. Ultimately, effective AR management helps
healthcare organizations maintain a steady cash flow and avoid financial challenges.

Denial management

Denial management in medical billing ensures timely payments, improves cash flow, reduces
errors, and optimizes reimbursements, enhancing financial stability for healthcare organizations.

1. Revenue Recovery: Helps recover payments from denied claims.
2. Cash Flow: Ensures timely payments and improves cash flow.
3. Trend Identification: Identifies recurring issues (e.g., coding errors).
4. Compliance: Keeps providers compliant with billing regulations.
5. Optimized Reimbursement: Increases reimbursement rates by addressing denial causes.
6. Patient Satisfaction: Resolves insurance issues, maintaining patient trust.
7. Cost Reduction: Lowers administrative costs by minimizing denials.
8. Resource Efficiency: Allows better allocation of staff and resources.
9. Overall, denial management ensures timely payments, improves efficiency, and supports
financial stability for healthcare organizations.

Appeals

Appeals in medical billing are vital for recovering denied claims, ensuring accuracy, and
improving reimbursement processes.

Appeals in medical billing are essential for recovering denied or underpaid claims. They help
ensure accurate billing by correcting errors, clarify insurance coverage, and speed up

reimbursement, improving cash flow. Appeals also strengthen relationships between providers
and insurers, advocate for patients' rights, and prevent fraud. Ultimately, they help maintain
financial stability for healthcare practices.

Our Exquiro logix RCM provides an experience that matches the                           finest healthcare institution with most qualified                                                                                                                                                                                                                                                                                                                                                                 

What We Offer

Mobirise Website Builder
Member Wellness Programs

* Encourages preventive care and     healthier lifestyles.
* Provides personalized health           plans and coaching.
* Reduces healthcare costs by           promoting well-being. your             page, add content and style it to     look the way you like.

Mobirise Website Builder
Claims Auditing

* Ensures accuracy and                       compliance in healthcare claims.
* Identifies billing errors and             fraudulent claims.
* Optimizes reimbursement               processes for providers.

Mobirise Website Builder
Provider Directory Management

* Maintains an updated list of             healthcare providers.
* Improves patient access to               accurate provider information.
* Enhances network efficiency            and compliance.

Mobirise Website Builder
Member Wellness Programs

* Streamlines patient booking           and  reduces no-shows.
* Offers automated reminders           and easy rescheduling.
* Enhances patient experience           and provider efficiency. 

Mobirise Website Builder
Inbound and Outbound Call Center Services

* Handles patient inquiries and         appointment coordination.
* Provides support for billing,             insurance, and general queries.
* Engages patients through                  outbound health reminders.

Mobirise Website Builder
IT Services & Consulting

* Delivers cost-effective, secure,       and scalable IT solutions.
* Supports healthcare                           infrastructure and data security.
* Enhances efficiency with                 tailored consulting services.

Mobirise Website Builder
Cloud Computing Services

* Provides secure and scalable           cloud-based solutions.
* Ensures easy access to patient         records and healthcare                     applications.
* Reduces operational costs while     improving data management. 

Mobirise Website Builder
Semi/Non-Voice Services (Email & Chat)

* Offers patient support through       digital communication channels.
* Provides fast and efficient email     and chat-based assistance.
* Enhances customer satisfaction     with 24/7 availability.

Privacy & Security

Mobirise Website Builder

At the core of our operations is the safeguarding of your data. We implement state-of-the-art security measures, adhere to industry-leading practices, and comply with all relevant regulatory standards to ensure the highest level of protection for your information. Our comprehensive data protection framework includes end-to-end encryption, strict access controls, and continuous monitoring to proactively detect and prevent unauthorized access or potential breaches.

We believe trust is founded on transparency and accountability. To maintain that trust, we continuously update our security policies to stay ahead of emerging threats. With a strong commitment to data privacy at our core, we create a secure environment where clients and partners can operate with confidence, knowing their sensitive information is protected at all times. 

Our Commitment to HIPAA / PHI Compliance:

Mobirise Website Builder



We prioritise the privacy and security of your health information. Our website adheres to Health Insurance Portability and Accountability Act (HIPAA) regulations to ensure the confidentiality of Petition Health Information (PHI). We use secure, encrypted communication channels and partner with compliant vendors to safeguard your data. If you have any questions about your privacy rights or data protection, don't hesitate to get in touch with us directly.

Our Vision

To be the most trusted and forward-thinking partner, continuously evolving to exceed client expectations. 

Our Mission

To empower our clients with reliable, efficient, and future-ready services, built on trust and excellence. 

Our Goal

To provide secure, innovative, and client-centric solutions that create lasting value. 

Our Expert Team

Our management team brings over 22 years of expertise in Revenue Cycle Management (RCM), Customer Service, Infrastructure Setup, Cloud Migration, E-commerce Billing and Customer Support, Technical Support for Desktops, Laptops, ISP Services, Customer Retention, and Tier-2 Escalations. With a deep understanding of industry best practices, we ensure seamless operations and optimal outcomes for our clients.

Our highly skilled Customer Service Representatives (CSRs) have extensive experience across Medical Billing, E-commerce, Billing & Customer Support, ISP Services, and IT Helpdesk Support. From designing tailored solutions to delivering top-tier resolutions, our team is committed to driving efficiency, enhancing customer experiences, and ensuring the highest service standards

Reach Us

Contact Us

  • #166 Princeton Hightstown Road,
  • Princeton Junction,
  • New Jersey 08550.

Follow us

© Copyright 2017 Exquirologix -RCM - All Rights Reserved

‌

Free AI Website Maker